Individual provider Active NPI

Melissa Fishell, LMFT, ATR

  • Marriage & Family Therapist
  • Greenwood Village, CO
National Provider Identifier
1003284043
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0002082 Issued in CO
Practice address
5310 DTC Pkwy Ste I
Greenwood Village, CO 80111-3010
Phone
(720) 334-7459
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 0002082 CO Primary

Addresses

Primary practice location

5310 DTC Pkwy Ste I
Greenwood Village, CO 80111-3010

Mailing address

5310 DTC Pkwy Ste I
Greenwood Village, CO 80111-3010
Phone (720) 334-7459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0002082COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Pines Counseling, PLLC Single Specialty Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1003284043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 DTC PKWY STE I",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113010",
            "telephone_number": "720-334-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 DTC PKWY STE I",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113010",
            "telephone_number": "720-334-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHELL",
        "first_name": "MELISSA",
        "credential": "LMFT, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0002082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.